title: Acute sinusitis.
abstract: Sinusitis is a common patient complaint that carries with it a large economic burden. It is one of the most common reasons patients visit their primary care physician. Acute bacterial rhinosinusitis (ABRS) can be distinguished from other forms of rhinosinusitis based on symptom duration of <4 weeks in a patient with purulent rhinorrhea associated with facial pain or pressure. Native upper aerodigestive tract bacteria are the most common etiologic agents. Treatment of ABRS is targeted primarily at symptom improvement. Amoxicillin can be used based on the clinical scenario and patient comorbidities. Computed tomographic scans are reserved for complicated presentations or when there is concern for intracranial extension or other complications. A systematic approach to ABRS will allow for improved patient quality of life and a decreased overall economic burden of this common entity.
authors.affiliation: From the Wilford Hall Ambulatory Surgery Center, Lackland Air Force Base, San Antonio, the San Antonio Military Medical Center, Brooke Army Medical Center, Fort Sam Houston, and the Audie L. Murphy Veterans Hospital, South Texas Veterans Health Care, San Antonio, Texas.
authors.forename: Brent
authors.initials: B
authors.lastname: Feldt
authors.forename: Gregory R
authors.initials: GR
authors.lastname: Dion
authors.forename: Erik K
authors.initials: EK
authors.lastname: Weitzel
authors.forename: Kevin C
authors.initials: KC
authors.lastname: McMains
mesh_terms: D000208:Acute Disease; D000700:Analgesics / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004724:Endoscopy; D005100:Expectorants / Q000627:therapeutic use; D006801:Humans; D014663:Nasal Decongestants / Q000627:therapeutic use; D012220:Rhinitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D012852:Sinusitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D000700:Analgesics; D000900:Anti-Bacterial Agents; D005100:Expectorants; D014663:Nasal Decongestants